Autonomic dysreflexia resulting from prolapsed hemorrhoids - Report of a case

Robert L. Hawkins; H. Randolph Bailey; William H. Donnovan

doi:10.1007/BF02076197

Autonomic dysreflexia resulting from prolapsed hemorrhoids - Report of a case

Robert L. Hawkins, H. Randolph Bailey, William H. Donnovan

Research output: Contribution to journal › Article › peer-review

9 Scopus citations

Abstract

PURPOSE: This article reports a case of autonomic dysreflexia associated with hemorrhoidal disease in a patient with high spinal cord lesions and successful treatment by surgical hemorrhoidectomy. METHODS: Following an unsuccessful attempt at conservative treatment which included bulk agents and warm compresses, the patient subsequently underwent three-column, closed surgical hemorrhoidectomy. RESULTS: The patient was symptom free and had normal bowel activity six weeks postoperatively, and five-year follow-up showed no recurrence of the hemorrhoidal prolapse or dysreflexia. CONCLUSION: Carefully controlled hemorrhoidectomy, when conservative measures fail, may be effective in managing autonomic dysreflexia in high spinal cord transection patients when prolapse serves as the stimulus.

Original language	English (US)
Pages (from-to)	492-493
Number of pages	2
Journal	Diseases of the Colon & Rectum
Volume	37
Issue number	5
DOIs	https://doi.org/10.1007/BF02076197
State	Published - May 1994

Keywords

Autonomic dysreflexia
Hemorrhoidectomy
Hemorrhoids
Spinal cord injury

ASJC Scopus subject areas

Gastroenterology

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10.1007/BF02076197

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title = "Autonomic dysreflexia resulting from prolapsed hemorrhoids - Report of a case",

abstract = "PURPOSE: This article reports a case of autonomic dysreflexia associated with hemorrhoidal disease in a patient with high spinal cord lesions and successful treatment by surgical hemorrhoidectomy. METHODS: Following an unsuccessful attempt at conservative treatment which included bulk agents and warm compresses, the patient subsequently underwent three-column, closed surgical hemorrhoidectomy. RESULTS: The patient was symptom free and had normal bowel activity six weeks postoperatively, and five-year follow-up showed no recurrence of the hemorrhoidal prolapse or dysreflexia. CONCLUSION: Carefully controlled hemorrhoidectomy, when conservative measures fail, may be effective in managing autonomic dysreflexia in high spinal cord transection patients when prolapse serves as the stimulus.",

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T1 - Autonomic dysreflexia resulting from prolapsed hemorrhoids - Report of a case

AU - Hawkins, Robert L.

AU - Bailey, H. Randolph

AU - Donnovan, William H.

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N2 - PURPOSE: This article reports a case of autonomic dysreflexia associated with hemorrhoidal disease in a patient with high spinal cord lesions and successful treatment by surgical hemorrhoidectomy. METHODS: Following an unsuccessful attempt at conservative treatment which included bulk agents and warm compresses, the patient subsequently underwent three-column, closed surgical hemorrhoidectomy. RESULTS: The patient was symptom free and had normal bowel activity six weeks postoperatively, and five-year follow-up showed no recurrence of the hemorrhoidal prolapse or dysreflexia. CONCLUSION: Carefully controlled hemorrhoidectomy, when conservative measures fail, may be effective in managing autonomic dysreflexia in high spinal cord transection patients when prolapse serves as the stimulus.

AB - PURPOSE: This article reports a case of autonomic dysreflexia associated with hemorrhoidal disease in a patient with high spinal cord lesions and successful treatment by surgical hemorrhoidectomy. METHODS: Following an unsuccessful attempt at conservative treatment which included bulk agents and warm compresses, the patient subsequently underwent three-column, closed surgical hemorrhoidectomy. RESULTS: The patient was symptom free and had normal bowel activity six weeks postoperatively, and five-year follow-up showed no recurrence of the hemorrhoidal prolapse or dysreflexia. CONCLUSION: Carefully controlled hemorrhoidectomy, when conservative measures fail, may be effective in managing autonomic dysreflexia in high spinal cord transection patients when prolapse serves as the stimulus.

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KW - Hemorrhoidectomy

KW - Hemorrhoids

KW - Spinal cord injury

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Autonomic dysreflexia resulting from prolapsed hemorrhoids - Report of a case

Abstract

Keywords

ASJC Scopus subject areas

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